Can I give Cerenia & Buprenorphine to senior cat with kidney disease?

Yes, it is safe and necessary to give him an injection of Cerenia at this point as without it he will not be able to keep the other medications down. do wait 2 hours after the injection before you give him any oral medications.

Cerenia and meclizine have different mechanisms of action so it should not be a problem. If symptoms do not improve or worsen, you may want to discuss diagnostics and referral for disease in the brain.

Buprenorphine can be given as often as every 6 hours, but it's typically prescribed to be given every 8 hours. It can be difficult to know for sure whether a cat's in pain, but I would look for signs like a relaxed posture, not hiding, interest in food and attention as signs that Kiki is comfortable. If you give it every 6 hours you can be pretty confident that it's doing it's job.

Thanks for using Petco Pet Education Center, formerly Petcoach. I'm sorry to hear Katniss has been ill. Cerenia is an anti-nausea medication. Animals with vestibular disease often feel "motion sick" - having something similar to vertigo. So this is great for that. It also helps settle the stomach which helps with appetite. Mirtazapine is a true appetite stimulant. Even with both of these, the balance apparatus is very mad and so falling over may still happen. I recommend bringing slightly warmed wet food to his face a few times daily to encourage eating. If no improvement in the vestibular signs within a week, I recommend a CT scan of the head to look for inner ear infection or, heaven forbid, a tumor. Vaseline is ok for paw pads, though olive oil or coconut oil is even better. To be honest, most cracked paw pads are not painful and do not need treatment. I'd recommend an over the counter laxatone product for the hair balls, along with frequent brushing. Omega 3 fatty acid supplements can help with the dandruff. Best wishes to you and Katniss.

Thank you for submitting your question regarding Trixie. Cerenia typically provides 24-48 hours of nausea relief in cats. So I would give it to her approximately 12 hours before her next dose of chemotherapy. This will give the medication plenty of time to start working as well as provide relief for many hours afterwards. I hope this information helps!

It is important to note that elderly feline patients with chronic renal disease are much more likely to dehydrate than your average kitty. Some thing you will want to check for at home for evidence of dehydration is the moistness on the gum line as well as the pink / paleness, the skin turgor (the skin should return to the body when you pull on it). Dehydrated cats will also usually appear weak, lethargic and unwilling to perform some normal activities. Without having your cat in front of me, I would say that an actively vomiting cat with chronic renal disease should be seen tonight for sure IF the vomiting continues even once more. If you decide to hold off on going for now, that may be OK. You can consider trying to give something for the vomiting like pepsid or prilosec, though unfortunately I am unable to offer doses. Hope this makes sense. If you are having any doubts are all about your kitty's well being just bite the bullet and have him seen .

The phosphate binder needs to be given with every meal as this is where dogs get their source of phosphorus. The cerenia helps with appetite so I would recommend giving it at least an hour prior to feeding this way it can have the greatest effect. I hope this helps. If you have any other questions let us know!